The National 3D Prevention Month Coalition is interested in obtaining information about 3D Prevention Month activities conducted by recipients of the 1998 Program Planner. Please complete this Brag Sheet so that we can learn firsthand about activities taking place throughout the country.

Three grants of $500 each will be awarded via random selection by the Coalition to thank you for taking the time to complete this form. Note that the Planner Feedback portion of the form must be completed in order to be eligible for a grant.

The National Highway Traffic Safety Administration (NHTSA) will publish an issue of the 3D Exchange in Spring 1999. Articles will be written from Brag Sheet submissions. Innovative programs will receive national attention and publicity if published.

Brag Sheets must be received no later than January 30, 1999.
Fax or mail your submission to:

National Commission Against Drunk Driving (NCADD)

1900 L Street, NW

Suite 705

Washington, DC 20036-5002

Fax: (202) 223-7012

Please type or print all responses

Name of Organization

Address

City                       State                       zip

Phone                   Contact Person                      

On a separate piece of paper, please provide the following information:

• Write a brief description of your organization’s mission.
• List the organizations that took part in your 3D Prevention Month campaign.
• Briefly describe the theme and target audience for your campaign.
• Briefly describe your most innovative activity for possible use in the 3D Exchange.
  (If selected for 3D Exchange, you will be contacted for further information.)

3D Prevention Month Activities

Please check all that apply, and use a separate piece of paper to include any additional information.

1	Public Information	Distributed broadcast public service announcements Distributed print public service announcements Distributed collateral materials Other (describe on separate piece of paper)
2	News Conference	Participated in national news conference to announce 3D Prevention Month Held news conference to announce National Holiday Lifesavers Weekend Other (describe on separate piece of paper)
3	Special Events	Participated in National Lights On For Life Day Participated in National Holiday Lifesavers Weekend Conducted Red Ribbon of Memories Campaign Other (describe on separate piece of paper)
4	School-based Activities	Assemblies Poster contests Held a traffic safety conference Other (describe on separate piece of paper)
5	Law Enforcement Activities	Sobriety checkpoints Increased enforcement Saturation patrols Multi-jurisdictional enforcement Other (describe on separate piece of paper)
6	Employer-based Activities	Vans and buses to transport employees from holiday parties E-mails to remind employees not to drink and drive Posters and other reminders about safe driving during the holiday season Other (describe on separate piece of paper)
7	Transportation Alternatives	Holiday Rides program Increased mass transit service Designated driver programs Other (describe on separate piece of paper)

Planner Feedback

Please take a moment to complete this portion of the feedback form. We need your input. This will help us in the development of future planners. Use an additional sheet of paper if necessary. Remember that the following must be completed in order to be eligible for a grant.

1	What has been the most helpful/useful section(s) of the planner?
2	What has been the least useful?
3	What can we include next year to better support your local efforts?
4	What ideas do you have that can be included in next year’s planner?
5	Have any of your 3D Prevention Month activities continued throughout the year? Which ones?
6	How can we help you sustain your impaired driving prevention efforts throughout the year?
	Comments and/or suggestions